Organization
EASTWEST PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNG TRAN P.T. (OWNER)
(626) 688-3978
Entity
Organization
Contact information
Practice address
5153 HOLT BLVD, SUITE A-1, MONTCLAIR, CA 91763-4837
(909) 626-2220
(888) 218-6160
Mailing address
2345 TRICKLING CREEK DR, LA VERNE, CA 91750-1363
(909) 626-2220
(888) 218-6160
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT21562
CA
Other
Enumeration date
07/10/2007
Last updated
10/21/2010
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